Uterine rupture after hysteroscopic metroplasty and labor induction - A case report

BACKGROUND: Hysteroscopic metroplasty has become the method of choice for t he treatment of uterine septa. Uterine perforation has been reported in abo ut 1% of surgical hysteroscopic procedures. Ultrasound allows the detection of uterine lesions. CASE: A woman who conceived after complicated hysteroscopic metroplasty und erwent emergency cesarean section because of uterine rupture during labor i nduced with prostaglandins (PGE,). An ultrasound scan performed two years l ater revealed a uterine lesion that corresponded to the myometrial tear rep orted at cesarean section. CONCLUSION: Complicated hysteroscopic metroplasty may promote acute uterine rupture during pregnancy and labor. Ultrasound is a useful tool for the de tection of uterine lesions. If adequately considered, it might have allowed more rational management of labor in this case. PGE, should never be used for induction od labor after complicated metroplasty.